If filing an insurance claim is classified as a career, trust me, some individuals will create a trade and flourish from providing such business service in Nigeria. Yes! Filing an insurance claim can seem daunting and mentally exhausting for a lot of people, however, given the right steps, you can navigate the process smoothly. Even though Nigerians do not like to fill forms or narrate their experience after an unfortunate incident (especially, after God has taken full control).

However, here’s a step-by-step guide to successfully filing different types of insurance claims in Nigeria.

Step 1: Understand Your Policy (Know wetin you buy)

Before filing a claim, it’s essential to thoroughly understand your insurance policy. Review the terms and conditions, coverage limits, exclusions, and the claim process outlined in your policy document. Knowing what is covered and what is not will save you time and avoid unnecessary frustration. To ask questions relating to your policy documents, please click here.

Step 2: Notify Your Insurance Company Immediately

When an incident occurs that requires filing a claim, notify your insurance company as soon as possible. Most insurers have a specific timeframe within which you must report the incident (could be up to 30 days depending on the type of insurance). Delaying the notification can result in the denial of your claim.

• Health Insurance: If you are hospitalized, inform your health insurance provider immediately. Many HMOs offer a 24/7 helpline for such emergencies in Nigeria or Africa.
• Auto Insurance: In case of an accident, contact your insurer right away. Provide them with all necessary details about the incident. A lot of insurers now use Apps for claim notification.
• Home Insurance: For damages due to events like fire, theft, or natural disasters, report to your insurer immediately to initiate the claim process.

If you do not know how to reach out to your insurance company, please ask us HERE and we provide answers immediately. IT’S FREE & EASY!

Step 3: Document the Incident/Accident

Gather and document all necessary information and evidence related to the incident. This documentation is crucial for supporting your insurance claim.

• Health Insurance: Obtain medical reports, bills, prescriptions, and any other relevant medical documentation from your healthcare provider (hospitals).
• Auto Insurance: Take clear photos of the accident scene, photos of the driver license of the other driver (if he’s at fault), damages to the vehicle, and obtain a police report if applicable. Exchange information with other parties involved in the accident.
• Home Insurance: Take photos or videos of the damage, and keep an inventory of the damaged or lost items. Obtain a police report in cases of theft or vandalism.

Step 4: Fill Out the Insurance Claim Form

Once you have gathered all necessary documentation, fill out the claim form provided by your insurer and ensure that all information is accurate and complete. Missing or incorrect information can delay the processing of your claim.

• Health Insurance: Some insurers require pre-authorization forms for specific treatments. Ensure you fill these out if required.
• Auto Insurance: Provide a detailed description of the accident and damages in the claim form.
• Home Insurance: List all damaged or lost items and their approximate value (as insured from the beginning; don’t undervalue and don’t overvalue during the claim process) in the claim form.

Step 5: Submit the Claim

Submit the completed claim form along with all supporting documents to your insurance company. This can often be done online through the insurer’s website or via email. Keep copies of all documents submitted for your records. If you ever require any help in the submission of your claim (if you are unable to find the email to send or you need the company’s address…please reach out to us)

Step 6: Ensure You Follow Up

After submitting your claim, regularly follow up with your insurance company to check the status of your claim. Maintain communication with your assigned underwriter/officer or salesperson who provides feedback to you. Always check your emails or mail box to provide any additional information they may require promptly.

Step 7: Cooperate with the Claims Adjuster

An insurance adjuster may be assigned to evaluate the damage or verify the details of your claim (mostly, this is needed for huge claims payout, claims that are suspected suspicious or assignment of adjuster based on other parameters known to the insurer). Cooperate fully and provide them with any additional information they may require. This can expedite the claim process.

Step 8: Receive the Settlement

Once your claim is approved, the insurer will process the settlement. Ensure that you understand the settlement amount, how it is calculated and ensure you scrutinise the discharge voucher when provided to you. If you have any questions or concerns, discuss them with your insurer or reach out to insurancegists.com if you have any concern.

Conclusion

Filing an insurance claim in Nigeria doesn’t have to be stressful. By understanding your policy, promptly notifying your insurer, documenting the incident, accurately completing the claim form, and following up diligently, you can ensure a smooth and successful claims process. Whether it’s health, auto, business (SMEs especially) or home insurance, these steps will help you navigate the system effectively and get the support you need.